HomeMy WebLinkAbout411 BRUNDAGE LANE_HMBP 5.17.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME /
-Services
RS
900 Truxtun Ave_ Suite 210
"Prevention
Bakersfield, CA 93301
ADDRESS �
�
Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACILITY NAME /
INSPECTION E
DAT
INSPECTION TIME
O
ADDRESS �
�
PHONE NC .
NO OF EMPLOYEES
e .
IVY"❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
BUSINESS ID NUMBER
Vi V
❑ PROPER SEGREGATION OF MATERIAL
15 -021-
Sectlo,n41Buslness Plari;and Inventory"Program•
4
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
Ero"❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
'�I_❑ CORRECT OCCUPANCY
IVY"❑ VERIFICATION OF INVENTORY MATERIALS
H` ❑ VERIFICATION OF QUANTITIES
Er— ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
Po" ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
W— ❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
L� ❑ FIRE PROTECTION
Imo❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZAR US AST N ITE? [�i'YES ❑ NO
EXPLAIN: _I C tt
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspe or (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible a Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05